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Connect with Texas Med Spa Directors
Explore working with our clinical supervision organization. Tell us your role and how you’d like to participate.
Medical practices
Licensed physicians
Licensed clinical trainers
Med spa managers
Healthcare attorneys
Vendors
Start the conversation
What happens after you reach out
We start with your service mix, because it determines everything downstream. Injectables, lasers, IV therapy, and weight management each carry different delegation and supervision requirements, and they point to different physicians.
From there we look at your city, your timeline, and whether you are opening new or revisiting an existing structure. Those are different conversations, and the second one usually moves faster.
Come prepared with these
Your service list
Everything you offer or plan to offer. Be specific. Neurotoxins, fillers, laser hair removal, IPL, IV hydration, and weight management all sit under different rules.
Your entity structure
Whether you have formed anything yet, and who owns it. If you already have a management company or a professional entity, tell us. If you have neither, that is common.
Your timeline
When you plan to open, or how long you have been operating. Practices established before the 2025 rule changes often need a different conversation than new launches.
Already open and unsure where you stand?
This is the more common call, and there is no benefit to waiting. Practices set up before the 2025 rule changes frequently have informal delegation, unclear supervision, or an ownership structure worth revisiting. None of that is unusual and none of it is unfixable. It is easier to address before a complaint than after one.

Tell us if any of these apply
- Your medical director signed on years ago and has not reviewed protocols since
- Delegation is verbal or undocumented
- A non-physician owns the entity providing medical services
- You have added services your current agreements do not cover
Texas requirement
In Texas, only a physician licensed by the Texas Medical Board, an MD or DO, may serve as a medical director. A nurse practitioner or physician assistant cannot hold the role, though either may perform delegated services under physician supervision.
The medical director’s name and Texas Medical Board license number must be posted in all treatment areas.
Before you reach out
Is there a cost to the first conversation?
Do you provide legal advice?
What if we are not open yet?
Do you serve all of Texas?
More from Texas Med Spa Directors
Who we are and how we work · Medical direction for Texas practices · Physician oversight for Texas med spas
Ready to talk about your Texas practice?
Share your services and your timeline. We will follow up with the oversight structure that fits.
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